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KENT M. MATTISON, D.M.D., P.C.
NPI 1114059706
Dentist - General Practice in Snellville, GA

Active since March 10, 2007
2381 MAIN ST E STE B, SNELLVILLE, GA 30078(770) 972-4666(770) 972-9054 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent M. Mattison, D.m.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT M. MATTISON, D.M.D., P.C. (NPI 1114059706) is a healthcare organization registered as a general practice in Snellville, Georgia and active in the NPI registry since March 2007. The organization lists Kent M Mattison, President, as its authorized official.

NPPES Registry Identity

NPI1114059706
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENT M. MATTISON, D.M.D., P.C.
Location Address2381 MAIN ST E STE BSnellville, GA 30078-3358
Mailing Address2381 Main St E Ste BSnellville, GA 30078-3358 · (770) 972-4666 · Fax (770) 972-9054
Phone(770) 972-4666
Fax(770) 972-9054
Organization SubpartNo
Authorized OfficialKent M MattisonPresident · (770) 972-4666
Enumeration DateMarch 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114059706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN008284
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2381 MAIN ST E STE B, Snellville, GA 30078
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN W SIMMONS IV DMD
Dentist (General Practice)
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 985-2437
DR. ROBERT FRENCH DDS
Dentist (General Practice)
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 985-2437
DR. KENT M MATTISON D.M.D.
Dentist
2381 MAIN ST E STE B
SNELLVILLE, GA 30078
Gwinnett County (770) 972-4666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent M. Mattison, D.M.D., P.C.'s NPI number?

The NPI number for Kent M. Mattison, D.M.D., P.C. is 1114059706. It was assigned to this organization in the NPPES registry on March 10, 2007.

Where is Kent M. Mattison, D.M.D., P.C. located?

Kent M. Mattison, D.M.D., P.C. is located at 2381 Main St E Ste B, Snellville, GA 30078. The listed phone number is (770) 972-4666.

What is Kent M. Mattison, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kent M. Mattison, D.M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.